re out of network
Mike,
You might be able to try the angle with the HMO re going out of network that they don't have an in network specialist that provides specific treatment for your diagnosis however this doctor does. Perhaps then he could be treated as an "in network" provider. HMOs are pretty stinky to work with tho it's worth a try unless this is a clinical trial then hopefully you will qualify for it and be able to get into the Clinical trial. Will keep my fingers mentally crossed for you! Good luck there!
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